Individual
ANGELA D SHANDY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSW, LCSW
Contact information
Practice address
209 W BROADWAY ST, OKEMAH, OK 74859-2618
(918) 623-2922
(918) 623-9316
Mailing address
209 W BROADWAY ST, OKEMAH, OK 74859-2618
(918) 623-2922
(918) 623-9316
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
—
—
1041C0700X
Clinical Social Worker
Primary
5202
OK
Other
Enumeration date
11/05/2007
Last updated
05/20/2016
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